GORDON WYCHE MOUGHON (NPI# 1376559070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376559070 |
| Entity Type | Individual |
| Full Name | GORDON WYCHE MOUGHON |
| Credential | MD |
| Practice Address |
630 Oneega Avenue Suite B Erwin TN 37650 |
| Practice Telephone | 4237436169 |
| Mailing Telephone | 4237436169 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD12739 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3181522 | 05 |
| Street Address |
630 ONEEGA AVENUE SUITE B |
| City | ERWIN |
| State | TN |
| Zip Code | 37650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725706 | Edwards Premier Healthcare LLC | Family Medicine | 1201 North Main Avenue, Erwin, TN 37650 | 2019-11-25 |
| 1235792953 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 110 N. Industrial Drive, Erwin, TN 37650 | 2019-04-18 |
| 1114111622 | Tara Beth Coumoundouros | Pharmacist | 1252 N Main St, Erwin, TN 37650 | 2007-08-29 |
| 1679695779 | David Joe Walters | Chiropractor | 226 Love Street, Erwin, TN 37650 | 2007-04-06 |
| 1437218385 | Deandria Marie Bogart | Registered Nurse | 101okolona Drive, Erwin, TN 37650 | 2006-12-06 |
| 1881768281 | James Alexander Bowden | Emergency Medicine | 2030 Temple Hill Rd, Erwin, TN 37650 | 2006-11-17 |
| 1720161409 | Charlotte Freeman Shores | Case Manager/Care Coordinator | 218 N Main Street, Erwin, TN 37650 | 2006-10-24 |
| 1407940067 | Unicoi County Family Practice | Clinic/Center | 108 Gay Street, Erwin, TN 37650 | 2006-10-03 |
| 1972607653 | Celeste Carol Taylor | Counselor | 218 N Main, Erwin Mh Center, Erwin, TN 37650 | 2006-09-12 |
| 1972607679 | Rita Jean Richardson | Counselor | 218 N Main Ave, Erwin, TN 37650 | 2006-09-12 |
| Find all providers in zip 37650 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366492639 | Charles G Miller II | Internal Medicine | 500 Love St, Erwin, TN 37650-1734 | 2006-05-10 |
| 1588140503 | Mpc | Internal Medicine | 100 Stalling Ln, Erwin, TN 37650 | 2018-07-12 |
| 1245745587 | Cumberland County Hospital System Inc | Internal Medicine | 518 E H St, Erwin, NC 28339-2209 | 2017-12-08 |
| 1568705457 | Blue Ridge Medical Management Corporation | Internal Medicine | 630 Oneega Ln, Suite A, Erwin, TN 37650-2197 | 2013-03-29 |
| 1821329665 | Md Abu Zahed Karim | Internal Medicine | 901 Denim Dr, Erwin, NC 28339 | 2010-01-19 |
| 1225152911 | Carra Avery Mclamb | Internal Medicine | 901 Denim Dr, Erwin, NC 28339-2307 | 2007-03-19 |
| 1740334853 | Dunn-erwin Medical Center, Inc. | Internal Medicine | 518 E H St, Erwin, NC 28339-2209 | 2007-01-23 |
| 1275543209 | Cumberland Clinic, PC | Internal Medicine | 630 Oneega Ln, Suite D, Erwin, TN 37650-2197 | 2006-08-09 |
| 1619904570 | Unaka Internal Medicine, LLC | Internal Medicine | 500 Love St, Erwin, TN 37650 | 2006-06-27 |
| 1063468809 | Lakshman Rao | Internal Medicine | 518 E H St, Erwin, NC 28339-2209 | 2006-05-25 |
| Find all providers in ERWIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.